A nurse is assisting with the care of a preschooler who is immediately postoperative following a tonsillectomy. Which of the following actions should the nurse take?

Apply an ice collar.

Encourage the child to use a straw.

Remind the child to cough and deep breathe.

Provide cherry fruit juice.

Answer and Explanation

The Correct Answer is A

A. Applying an ice collar helps reduce swelling and discomfort in the throat after a tonsillectomy. Cold therapy is effective in the early postoperative period to minimize bleeding and pain.

B. Using a straw should be avoided after a tonsillectomy because it may cause trauma to the surgical site and increase the risk of bleeding.

C. Coughing and deep breathing should be avoided after a tonsillectomy as they can cause irritation or dislodge the blood clots in the surgical site, leading to bleeding.

D. Providing cherry fruit juice is not ideal, as acidic or red-colored liquids can irritate the throat and may make it difficult to monitor for post-operative bleeding.

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Correct Answer is A

Explanation

A. This response reassures the child that they are not to blame for the abuse and provides emotional support. It also establishes a sense of safety for the child to express their feelings.

B. Telling the child that they should have spoken up earlier may cause shame or guilt, which can further harm the child’s emotional well-being.

C. Promising not to tell anyone would be unethical because it is necessary to report suspected abuse to the appropriate authorities for the child's safety.

D. While this response acknowledges the injustice of the situation, it doesn't validate the child's feelings of fear or confusion in a way that encourages trust and healing.

A. Apply calamine lotion to the affected area. B. Flush the area with cold, running water. C. Instruct the parent to give the child an oatmeal bath twice daily. D. Administer an oral corticosteroid.

Correct Answer is B

Explanation

A. Applying calamine lotion is helpful for symptom relief but does not remove the poison ivy oil from the skin.

B. Flushing the affected area with cold, running water immediately after exposure helps to remove the poison ivy oil (urushiol) from the skin, which is crucial in preventing or reducing the severity of the rash.

C. While an oatmeal bath can help soothe itching, it is not the priority action in the acute stage of exposure.

D. Administering an oral corticosteroid may be necessary if the rash is severe, but flushing the area with water should be the first step in preventing further reaction.

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A nurse is assisting with the care of a preschooler who is immediately postoperative following a tonsillectomy. Which of the following actions should the nurse take?

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